Individual provider Active NPI

Megan A Headd, RADT 1

  • Addiction (Substance Use Disorder) Counselor
  • Placerville, CA
National Provider Identifier
1447985288
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
R1476820822 Issued in CA
Practice address
2844 Coloma St
Placerville, CA 95667-4406
Phone
(530) 626-9240
NPI assigned
Jul 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1476820822 CA Primary

Addresses

Primary practice location

2844 Coloma St
Placerville, CA 95667-4406

Mailing address

6350 Page LN
El Dorado, CA 95623-4304
Phone (916) 539-9551

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL @progresshouseinc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R1476820822CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1447985288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 PAGE LN",
            "city": "EL DORADO",
            "state": "CA",
            "postal_code": "956234304",
            "telephone_number": "916-539-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2844 COLOMA ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674406",
            "telephone_number": "530-626-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADD",
        "first_name": "MEGAN",
        "middle_name": "A",
        "credential": "RADT 1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-17",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1476820822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "@progresshouseinc.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2844 Coloma St",
            "city": "Placerville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956674406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.